Let me explain with my current situation. I am 22 F and I currently weigh 305lbs.
I am obese. Morbidly obese.
Even though I have been trying for 5 years at this point to lose the weight on my own. Eat healthier, eat more fruits and veggies, cut out excess sugar, walk more, exercise more, the whole kit and caboodle.
But I still am not losing the weight. I am still very fat. And I am worried that it will cause very serious health problems.
So I talked with my doctor and she told me “We need to get you on a weight loss medication. Let’s try Ozempic”.
But my insurance told us that they don’t think I need the Ozempic so they won’t pay for it.
So we tried Wegovy and Mounjaro. But my insurance still rejected our requests.
They’re saying because I am young, and I am a diabetic with good numbers, I dont need the weight loss meds and I can just lose the weight naturally.
But ive been trying to and it hasn’t been working. So that’s why my doctor prescribed me the weight loss med.
Why is this allowed? Why is it that your insurance can deny you a medication, even if your doctor says you need it?
Just because a rock falls down doesn’t mean it “naturally follows” that some rocks fall upward too. There is no way to invoke a system that stores excess energy as fat if there is no excess. Could some energy that is actually needed get stored as fat? Okay, but… Not for long, as the body would need energy, since it isn’t getting calories. Unless it is getting calories from food.
I went from 175lbs to 125lbs in four months during divorce proceedings. My metabolism didn’t change. I wasn’t on a new miracle drug. I was depressed and didn’t eat, and I took up running a 3.2mi circuit around the bay where I live.
To your point, I bet OP’s diet would help you bulk up, just not likely with muscle. Chow a few gallons of ice cream each week. Eat American fast food three to ten times a week. Put cheese on everything. Ignore the “added sugars” part of the nutrition label. My weekly intake fits in a single shopping bag. I doubt OP can say the same. They weigh 2.5 times my weight.
Willpower is much harder to muster for a whole year, and its exceedingly difficult to avoid bad calories in this country.
ETA: Ozempic isn’t prescribed because doctors found patients whose bodies are non-conformant to the basic principles of caloric intake. It’s because doctors know patients have no willpower, and its likely the only way they will accept to lose weight.
Nobody can defy the laws of thermodynamics, but some people can be genetically predisposed to being fatter, just as some people are genetically predisposed to being taller. Plenty of skinny people (myself included) can eat through loads of fatty fried foods and not put on a single kg. Meanwhile you see a fat person eating all salads and they get told maybe they should eat fewer salads.
And even if it were entirely down to what you eat, calling it an issue of willpower is just insulting. Do you think people struggling with drug addiction just have a willpower issue? If OP is in the US (which I’m assuming she is from the described healthcare system), the food there is designed to be practically addictive and unhealthy. I doubt OP has a diet of cheeseburgers and doritos—it wouldn’t make sense for someone trying to lose weight to eat like that—but if she did, that’s clearly a social issue of both fast food companies under capitalism, availability of healthy food, and a US food culture centred around destroying your arteries. Sure, a drug addict could simply physically not pick up the needle, but they can hardly be blamed for doing so when there is an obvious material reason for them doing so, ie a chemical addiction.